Provider Demographics
NPI:1407068711
Name:CLYMAN, NOAH BENJAMIN (LCSW, ACT)
Entity Type:Individual
Prefix:MR
First Name:NOAH
Middle Name:BENJAMIN
Last Name:CLYMAN
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Gender:M
Credentials:LCSW, ACT
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Mailing Address - Street 1:3414 81ST ST
Mailing Address - Street 2:APT. 2
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-2817
Mailing Address - Country:US
Mailing Address - Phone:973-768-7552
Mailing Address - Fax:347-730-5535
Practice Address - Street 1:19 W 34TH ST
Practice Address - Street 2:PENTHOUSE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3006
Practice Address - Country:US
Practice Address - Phone:973-768-7552
Practice Address - Fax:347-730-5535
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY078302-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical